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1104563865
MATHUSHAN MOHANAROOBAN
STATEN ISLAND, NY
NPI
1104563865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
Enumeration Date
2022-05-15
Last Update Date
2022-05-15
Business Address
MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-420-4151
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Mailing Address
MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT
595 WOOLLEY AVE
STATEN ISLAND, NY 10314-6820
Phone number: 347-822-1427
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